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Educational interventions using a primer and motivational interviewing: randomized clinical trial.

Leidiane Minervina M de Sabino1, Ádria Marcela V Ferreira1, Elizamar Regina R Mendes2

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Combining an educational primer with Brief Motivational Interviewing (BMI) significantly boosted maternal self-efficacy in preventing childhood diarrhea. This approach also reduced the incidence of diarrhea in young children.

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Area of Science:

  • Public Health
  • Health Education
  • Child Health

Background:

  • Educational technologies are vital for population health promotion.
  • Maternal self-efficacy is crucial for preventing childhood illnesses like diarrhea.
  • Existing interventions may not fully leverage combined educational and counseling approaches.

Purpose of the Study:

  • To evaluate the impact of an individual educational primer combined with Brief Motivational Interviewing (BMI) on maternal self-efficacy.
  • To assess the effectiveness of this combined approach in preventing childhood diarrhea.

Main Methods:

  • A randomized clinical trial involving 181 mothers/guardians of children under five in Fortaleza, Brazil.
  • Three groups: primer only (EG A), primer + BMI (EG B), and control (CG).
  • Maternal self-efficacy and diarrhea incidence were measured at baseline, 30, and 60 days post-intervention.

Main Results:

  • Experimental Group B (primer + BMI) showed a higher incidence of high maternal self-efficacy post-intervention.
  • While diarrhea occurred in all groups, EG B had fewer cases one month after the intervention (P=0.025).
  • The combined intervention demonstrated a significant positive effect on maternal self-efficacy over time.

Conclusions:

  • The synergistic use of an educational primer and BMI significantly enhances maternal self-efficacy for preventing childhood diarrhea.
  • This combined strategy effectively reduces the occurrence of childhood diarrhea.
  • The findings support the integration of educational tools with motivational interviewing for improved child health outcomes.